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Westchester Acupuncture &
Chinese Medicine Clinics

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Your Initial Visit

Initial Visit Form to Complete

Please click on form link below, print out and complete, and bring in with you on your initial visit.

New Patient Intake Form

Things to consider before arriving for treatment

  • Make sure to eat something light an hour or two before arriving
  • Try to avoid the intake of caffeine or pain medications
  • Wear loose fitting clothes
  • Bring a list of medications you are taking

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111 North Central ave Hartsdale Ny suite 350, 914-562-5748,

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